www.england.nhs.uk
Delivering the Five Year Forward
View for IAPT
www.england.nhs.uk
Key Publications
2
www.england.nhs.uk 3
Commitments: Increase access to
1.5m people a year
15.58% 15.80% 16.80%
19%
22%
25%
953 960
1,020 1,160
1,370 1,500
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
0%
5%
10%
15%
20%
25%
2015/16 2016/17 2017/18 2018/19 2019/20 2020/21
Nu
mb
er
of
peo
ple
accessin
g
treatm
en
t, t
ho
usan
ds
Access
Projected access rate
People accessing treatment (thousands)
www.england.nhs.uk 4
Commitments: More than double the
number of employment advisors in
IAPT
Around 90 CCGs to take part in extensive
testing of employment advisors in IAPT –
gathering rigorous information for 2020/21
www.england.nhs.uk 5
Commitments: improve quality and
outcomes for the whole population
Quality
Premium
www.england.nhs.uk 6
Commitments: build capacity in the
workforce
210
350 338 338 338 390
650 630 630 630
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
0
100
200
300
400
500
600
700
2016/17 2017/18 2018/19 2019/20 2020/21
Cu
lmati
ve t
ota
ls o
f tr
ain
ed
sta
ff
Pro
jecte
d t
rain
ees e
ach
year
Projected trainee numbers
PWP trainees HIT trainees
Culmative total Co-located staff in primary care
www.england.nhs.uk
• Two thirds of expansion to be ‘Integrated
IAPT’ services – integrated with physical
health pathways for people with long term
conditions or distressing and persistent
medically unexplained symptoms.
• In 2016/17 and 2017/18: Early Implementers
supported centrally
• From 2018/19, CCGs to commission
integrated IAPT services
7
Commitments: Integrated IAPT
services
www.england.nhs.uk 8
2016/17 2017/18 2018/19
Outcomes
based tariff Preparation
Shadow
implementation
Full
implementatio
n
Quality
Premium Quality Premium Active
Supporting
productivity
Digital information for
commissioners
published
Further work on promoting digital
uptake
Guidance
Interim
implementation
guidance for
integrated IAPT
Updated guidance
for integrated IAPT.
Updated Core IAPT
guidance published
New
evidence
Commission analysis
of early
implementers
Initial evidence from
analysis
Final evidence
from analysis
Comms
Regular communications on the case for expansion –
including evidence, best practice and fit with system
priorities
Fin
an
cia
l
Inc
en
tive
s
Gu
idan
ce a
nd
bu
ild
ing
evid
en
ce
www.england.nhs.uk 9
Workforce – where are we now?
• Around 6000 WTE therapists in current workforce
• Participation rate higher for CBT than other therapy
modalities
• 427 WTE vacancies
• Leaver rate is 22% for Psychological Wellbeing
Practitioners (PWPs), 9% for High Intensity
Therapists (HITs). Work underway to better
understand these rates.
• Some evidence of poor workforce wellbeing
www.england.nhs.uk 10
www.england.nhs.uk
Ideas for action
• Understand why people leave and where they go, and
how this varies across the country
• Support staff wellbeing – national post and scoping
• Broaden routes into IAPT – explore different
recruitment and training strategies to improve
sustainability and representativeness of IAPT
workforce
• Develop training offer, e.g. CDP for long term
conditions / medically unexplained symptoms
• Networks and peer support
11
Sustainability: how do we build a
sustainable IAPT workforce?
www.england.nhs.uk
Questions and
discussion
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